1|Page
CRCR CERTIFICATION EXAM LATEST 2024/2025
UPDATED QUESTIONS AND CORRECT DETAILED
ANSWERS GRADED A+
The disadvantages of outsourcing include all of the
following EXCEPT:
a) The impact of customer service or patient relations
b) The impact of loss of direct control of accounts
receivable services
c) Increased costs due to vendor ineffectiveness
d) Reduced internal staffing costs and a reliance on
outsourced staff - .....ANSWER ...✔✔ d) Reduced
internal staffing costs and a reliance on outsourced staff
The Medicare fee-for service appeal process for both
beneficiaries and providers
includes all of the following levels EXCEPT:
a) Medical necessity review by an independent
physician's panel
b) Judicial review by a federal district court
c) Redetermination by the company that handles claims
for Medicare
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d) Review by the Medicare Appeals Council (Appeals
Council) - .....ANSWER ...✔✔ b) Judicial review by a
federal district court
Business ethics, or organizational ethics represent:
a) The principles and standards by which organizations
operate
b) Regulations that must be followed by law
c) Definitions of appropriate customer service
d) The code of acceptable conduct - .....ANSWER
...✔✔ a) The principles and standards by which
organizations operate
A portion of the accounts receivable inventory which has
NOT qualified for billing
includes:
a) Charitable pledges
b) Accounts created during pre-registration but not
activated
c) Accounts coded but held within the suspense period
d) Accounts assigned to a pre-collection agency -
.....ANSWER ...✔✔ a) Charitable pledges
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Local Coverage Determinations (LCD) and National
Coverage Determinations (NCD) are
Medicare established guideline(s) used to determine:
a) Medicare and Medicaid provider eligibility
b) Medicare outpatient reimbursement rates
c) Which diagnoses, signs, or symptoms are
reimbursable
d) What Medicare reimburses and what should be
referred to Medicaid - .....ANSWER ...✔✔ c) Which
diagnoses, signs, or symptoms are reimbursable
Days in A/R is calculated based on the value of:
a) The total accounts receivable on a specific date
b) Total anticipated revenue minus expenses
c) The time it takes to collect anticipated revenue
d) Total cash received to date - .....ANSWER ...✔✔ c)
The time it takes to collect anticipated revenue
Patients are contacting hospitals to proactively inquire
about costs and fees prior to
agreeing to service. The problem for hospitals in
providing such information is:
a) That hospitals don't want to establish a price
without knowing if
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the patient has insurance and how much reimbursement
can be
expected
b) The fact that charge master lists the total charge, not
net charges
that reflect charges after a payer's contractual
adjustment
c) That hospitals don't want to be put in the position of
"guaranteeing" price without having room for additional
charges
that may arise in the course of treatment
d) Their reluctance to share proprietary information -
.....ANSWER ...✔✔ b) The fact that charge master lists
the total charge, not net charges
that reflect charges after a payer's contractual
adjustment
Across all care settings, if a patient consents to a
financial discussion during a medical
encounter to expedite discharge, the HFMA best
practice is to:
a) Make sure that the attending staff can answer
questions and
assist in obtaining required patient financial data
CRCR CERTIFICATION EXAM LATEST 2024/2025
UPDATED QUESTIONS AND CORRECT DETAILED
ANSWERS GRADED A+
The disadvantages of outsourcing include all of the
following EXCEPT:
a) The impact of customer service or patient relations
b) The impact of loss of direct control of accounts
receivable services
c) Increased costs due to vendor ineffectiveness
d) Reduced internal staffing costs and a reliance on
outsourced staff - .....ANSWER ...✔✔ d) Reduced
internal staffing costs and a reliance on outsourced staff
The Medicare fee-for service appeal process for both
beneficiaries and providers
includes all of the following levels EXCEPT:
a) Medical necessity review by an independent
physician's panel
b) Judicial review by a federal district court
c) Redetermination by the company that handles claims
for Medicare
,2|Page
d) Review by the Medicare Appeals Council (Appeals
Council) - .....ANSWER ...✔✔ b) Judicial review by a
federal district court
Business ethics, or organizational ethics represent:
a) The principles and standards by which organizations
operate
b) Regulations that must be followed by law
c) Definitions of appropriate customer service
d) The code of acceptable conduct - .....ANSWER
...✔✔ a) The principles and standards by which
organizations operate
A portion of the accounts receivable inventory which has
NOT qualified for billing
includes:
a) Charitable pledges
b) Accounts created during pre-registration but not
activated
c) Accounts coded but held within the suspense period
d) Accounts assigned to a pre-collection agency -
.....ANSWER ...✔✔ a) Charitable pledges
,3|Page
Local Coverage Determinations (LCD) and National
Coverage Determinations (NCD) are
Medicare established guideline(s) used to determine:
a) Medicare and Medicaid provider eligibility
b) Medicare outpatient reimbursement rates
c) Which diagnoses, signs, or symptoms are
reimbursable
d) What Medicare reimburses and what should be
referred to Medicaid - .....ANSWER ...✔✔ c) Which
diagnoses, signs, or symptoms are reimbursable
Days in A/R is calculated based on the value of:
a) The total accounts receivable on a specific date
b) Total anticipated revenue minus expenses
c) The time it takes to collect anticipated revenue
d) Total cash received to date - .....ANSWER ...✔✔ c)
The time it takes to collect anticipated revenue
Patients are contacting hospitals to proactively inquire
about costs and fees prior to
agreeing to service. The problem for hospitals in
providing such information is:
a) That hospitals don't want to establish a price
without knowing if
, 4|Page
the patient has insurance and how much reimbursement
can be
expected
b) The fact that charge master lists the total charge, not
net charges
that reflect charges after a payer's contractual
adjustment
c) That hospitals don't want to be put in the position of
"guaranteeing" price without having room for additional
charges
that may arise in the course of treatment
d) Their reluctance to share proprietary information -
.....ANSWER ...✔✔ b) The fact that charge master lists
the total charge, not net charges
that reflect charges after a payer's contractual
adjustment
Across all care settings, if a patient consents to a
financial discussion during a medical
encounter to expedite discharge, the HFMA best
practice is to:
a) Make sure that the attending staff can answer
questions and
assist in obtaining required patient financial data
